Photo: Medical care for the elderly in the Third Affiliated Hospital of the Naval Military Medical University Interview subject (the same below)
Xinmin Evening News (reporter Gao Yang, correspondent Peng Jenny, Xie Tao) Recently, the Third Affiliated Hospital of the Naval Military Medical University (Shanghai Oriental Hepatobiliary Surgery Hospital) successfully treated a ninety-year-old surviving the Battle of Changjin Lake.
One rainy night in November, the emergency department of the hospital's Anting Campus admitted a 90-year-old male patient. Half an hour before admission, he suddenly lost his speech, the corners of his mouth were crooked, accompanied by symptoms such as hemiplegia in the right limb, and the symptoms persisted and did not alleviate, and he was urgently sent to the hospital by his family.
After the emergency pre-examination receives the patient, the neurology department is immediately notified, and under the close cooperation of the emergency department, laboratory department, radiology department and other multidisciplinary departments, the green channel is opened, and the examination is completed in 20 minutes. After a comprehensive evaluation by the neurovascular doctor, it was determined that the patient was "acute cerebral infarction within the treatment time window", and there was no need for neurointervenous thrombolytic therapy, and intravenous thrombolysis could be given. With the consent of the family, intravenous thrombolytic therapy was started within 5 minutes. After receiving thrombolytic treatment for ten minutes, the symptoms of weakness in the right limb of the elderly man began to ease; after the thrombolysis was over, his right upper limb could hold the object, and the right lower limb could also be lifted off the bed to resist gravity; the vagueness of speech also improved, and he gave a thumbs up to everyone and said: "You saved me!" The medical staff in the emergency department rescue room paid close attention to the changes in the old man's condition after thrombolysis until he was admitted to the neurology ward the next day. After receiving the patient, the medical team of the neurology ward quickly connected the treatment, and after completing the thrombolytic treatment for 24 hours, the relevant departments fully opened the green channel to the elderly, and all relevant examinations were completed on the same day.
During the treatment, the paramedics inadvertently learned that the old man was a survivor of the Battle of Chosin Lake and had served as a platoon leader in an artillery battalion. "Not long ago, we watched the movie "Chosin Lake" and were deeply affected by the deeds of the predecessors in the play. Seeing heroes all around us, we both worship and admire. A neurologist said, "He once shuttled through the forest of bullets and guns, as a medical staff of a military hospital, we must use our excellent professional skills to repay his efforts and protect his health." ”
Pictured: The old man's participation in the War to Resist US Aggression and Aid Korea
After 14 days of treatment, this veteran soldier who participated in the War to Resist US Aggression and Aid Korea recovered as before, his spirits were vibrant, and he said: "When I came here, my blood pressure was also well controlled, and my head was no longer dizzy!" ”
In the third national cause-of-death review sample survey report, cerebrovascular disease ranks first among the causes of death of Chinese citizens. Among them, ischemic stroke, that is, cerebral infarction, accounts for about 80% of stroke. After acute cerebral infarction occurs, irreversible necrosis occurs in part of the brain tissue, resulting in symptoms such as limb paralysis and language disorders. Some patients still have a part of the brain tissue around the core area of infarction that is in a state of ischemia, and can be restored in time to restore function - this is why intravenous thrombolysis can achieve good results.
According to reports, intravenous thrombolysis is currently recognized worldwide, through intravenous thrombolytic drugs to dissolve blood clots, restore blocked vascular blood flow, so that blood vessels re-pass one of the most effective treatment measures, but has a strong time dependence. Within 3-4.5 hours after the onset of acute cerebral infarction, after rigorous imaging, blood and other related tests and specialist evaluation and screening, the earlier the start, the greater the benefit, and the smaller the risk of bleeding.